Application For Waiver Of Athletic Eligibility Foreign Exchange Students - The University Of Texas At Austin Page 3
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3Revised July 2014
SECTION VI: ELIGIBILITY VERIFICATION (Continued)
Has student attended any other United States school within the last four years?
Yes
No
If yes, give school name: __________________________________ City: __________________ State: ___________
Dates attended: ___________________________________________________________________________________
If yes, attach explanation of why student changed schools. Letter should come from current school administrator or local program coordinator
of student’s foreign exchange program on their school or program letterhead.
SECTION VII: DISTRICT EXECUTIVE COMMITTEE INFORMATION
Name: _____________________________________________________________________________________________
Principal
Superintendent
Athletic Director
Other
School (or ISD if supt.): _______________________________________________________________________________
Business Phone: ____________________________
Fax Number: _______________________________________
District Number: ________________ Conference:
A
AA
AAA
AAAA
AAAAA
AAAAAA
SECTION VIII: VERIFICATION OF ACCURACY
Statement of Accuracy of Information: We, the signatories, attest to the accuracy of the information contained in this Application
of Waiver of Athletic Eligibility – Foreign Exchange Student. We further understand that submission of false information will result
in the ineligibility of the above named student for at least one year for all UIL activities in any member school. (Section 470, UIL
Constitution and Contest Rules.) Falsification of the above information could and will result in sanctioning by the UIL.
Student’s Signature: ______________________________________
Date: ______________________________
Host Parent’s Signature: ___________________________________
Date: ______________________________
Please give the name of the school person (coach, teacher, counselor, etc.) who is responsible for this student’s application and who
should be contacted with any questions regarding this application:
PRINT Name (title): _____________________________________ Telephone (extension): _________________________
E-mail Address: _______________________________________________________________________________________
Host Principal: All UIL and applicable Commissioner of Education rules and State Law are verified as being met by this student.
(Principal should verify that all information is complete before giving approval that this form be submitted to the UIL.)
Falsification of the above information could and will result in sanctioning by the UIL.
PRINT Principal’s Name: _______________________________________
Date: _______________________________
Principal’s Signature: __________________________________________
Date: _______________________________
___________________________________________________________________________________________________________
Applying for athletic eligibility is not valid assumption of eligibility. A Foreign Exchange student is ineligible for all Varsity
Level athletic activities until written approval from the UIL Foreign Exchange Waiver Officer is received. A student will
NOT be granted eligibility if circumstances cause the student to be deemed ineligible during the course of a season.
___________________________________________________________________________________________________________
Return to:
Waiver Department - Foreign Exchange Students
University Interscholastic League
P.O. Box 8028
Austin, TX 78713-8028
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